NPI 1083146542

Anthony Rella, DMD

Practitioner Dentist Dawsonville, GA

Practice location

Address: 137 Prominence CT STE 140, Dawsonville, GA 30534-8938
Phone: (706) 265-6877
Mailing address: 508 Waterfall Dr, Canton, GA 30114-8856

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DN015728 (GA)

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Registry record

NPI: 1083146542
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Apr 2017
Record last updated: 1 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.